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Department of
SOCIAL SERVICES
Community Care Licensing
FACILITY EVALUATION REPORT
Facility Number:
153908391
Report Date:
12/07/2022
Date Signed:
12/08/2022 05:23:42 PM
COMPREHENSIVE INSPECTION
Document Has Been Signed on
12/08/2022 05:23 PM
- It Cannot Be Edited
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY
FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office
,
39115 TRADE CENTER DR STE. 201
PALMDALE
,
CA
93551
FACILITY NAME:
GREWE, AMANDA FAMILY CHILD CARE
FACILITY NUMBER:
153908391
ADMINISTRATOR:
GREWE, AMANDA
FACILITY TYPE:
810
ADDRESS:
TELEPHONE:
(661) 917-3414
CITY:
ROSAMOND
STATE:
CA
ZIP CODE:
93560
CAPACITY:
14
TOTAL ENROLLED CHILDREN:
14
CENSUS:
2
DATE:
12/07/2022
TYPE OF VISIT:
Required - 1 Year
UNANNOUNCED
TIME BEGAN:
09:02 PM
MET WITH:
Amanda Grewe
TIME COMPLETED:
11:15 PM
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Grewe FCC.pdf
SUPERVISORS NAME
:
Claretta Yates
LICENSING EVALUATOR NAME
:
Carol Heath
LICENSING EVALUATOR SIGNATURE
:
DATE:
12/08/2022
I acknowledge receipt of this form and understand my
licensing
appeal rights as
explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE:
12/08/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809
(FAS) - (06/04)
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